A case of fever, eosinophilia, and pneumonia.

Ward, Carla M.; Zuromskis, Peter J.; Ives, David V.; Sheikh, Javed

There is a broad differential for patients presenting with fever, eosinophilia, and pneumonia. We present a case of a 48-year-old man who presented with recurrent fever, pleuritic chest pain, and cough. His medical history was significant for a recent trip to Arizona. A chest x ray showed a right lower lobe infiltrate and CT examination of the chest showed extensive mediastinal lymphadenopathy. Tissue culture from a biopsy specimen of the mediastinal lymph nodes revealed growth of Coccidioides immitis and a diagnosis of coccidioidomycosis was made. He was treated with a total of a 9-month course of itraconazole and has remained disease free for >2 years. This case shows how a careful history and evaluation will direct the clinician to the correct diagnosis.

FEVER; EOSINOPHILIA; PNEUMONIA; COCCIDIOIDOMYCOSIS; DIAGNOSIS

Allergy & Asthma Proceedings, 2007, Vol 28, Issue 3, p382

1088-5412

Academic Journal

10.2500/aap.2007.28.2969